Female Death Registration: Year: 1970 number: 1742
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001742
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney Mines
If death occured in a hospital or institution 30 Barrington St., Sydney Mines
3. PRINT NAME OF DECEASED Mouland, Irene Olive
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Tilt Cove, Newfoundland
9. DATE OF BIRTH 10 17, 1904
10. AGE in Years65 Months3 Days28 | hrs or mins
11. Trade or profession house wife
12. Kind of industry house keeping
13. Date last worked February 13, 1970 14. Total years 45 years
15. If married name of spouse H. Joseph Mouland
16. NAME of Father Albert Eveleigh
17. BIRTHPLACE Newfoundland
18. NAME of Mother Eva Fricker
19. BIRTHPLACE Newfoundland
20. Signature of Informant Dorothy Mouland
address 30 Barrington St., Sydney Mines
Relationship to deceased daughter
21. Place of burial Brookside Cemetery, Sydney Mines
Date of burial February 16, 1970
22. Undertaker Fillmore & Whitman Funeral Home Ltd., 10 Clyde Ave., Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 14, 1970
CAUSE OF DEATH
(a) acute myocardial infarction
(b) ASHD
(c)
other old C.V.A., hypertension, osteoarthritis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487056
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